Article

OBJECTIVE: To compare the efficacy of a regimen combining mental practice (MP)
with overground training (OT) with the efficacy of a regimen consisting of OT
only on gait velocity and lower extremity motor outcomes in individuals with
chronic (>12mo postinjury), incomplete spinal cord injury (SCI). DESIGN:
Randomized, controlled, single-blinded study. SETTING: Outpatient rehabilitation
laboratories. PARTICIPANTS: Subjects with chronic, incomplete SCI (N=18).
INTERVENTIONS: Subjects were randomly assigned to receive (1) OT only, occurring
3d/wk for 8 weeks; or (2) OT augmented by MP (MP + OT), during which randomly
assigned subjects listened to an MP audio recording directly after OT sessions.
MAIN OUTCOME MEASURES: Subjects were administered a test of gait velocity as well
as the Tinetti Performance Oriented Mobility Assessment, Spinal Cord Injury
Independence Measure, and Satisfaction With Life Scale on 2 occasions before
intervention, 1 week after intervention, and 12 weeks after intervention.
RESULTS: A significant increase in gait velocity was exhibited across subjects at
both 1 week posttherapy (P=.005) and at 12 weeks posttherapy (P=.006). However,
no differences were seen in intervention response at either 1 or 12 weeks
postintervention among subjects in the MP + OT group versus the OT-only group.
CONCLUSIONS: OT was associated with significant gains in gait velocity, and these
gains were not augmented by further addition of MP.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS